, 9 tweets, 3 min read Read on Twitter
#iasltcon2019 #iamIASLT @cristina_mckean asks Given what we now know about the developmental pathways of child language what kinds of interventions and services should we deliver?
#IASLTcon2019 advocating a public health approach that encompasses primary prevention, secondary (targeted selective & targeted indicated) and tertiary prevention
Outlines collaborators and cohorts from which data are derived; including ELVS (early language in Victoria study) which was designed from outset to look specifically at child language
We can confidently identify children by 4 who will have persisting difficulties
Strict cut points should be avoided; many children whose scores move, move just above/below cut offs; need gradient response to gradient need #IASLTcon19
& later emerging language difficulties also evident; in some instances associated difficulties will emerge later- eg social emotional development; reducing QoL #iasltcon19
At preschool, trajectories not stable; late talking alone not a reliable indicator; outlines useful model as published in McKean et al 2016 Int J Early Childhood #IASLTCon2019
@cristina_mckean advises interventions & services should be collaborative, preventative, functional and across the life course #IASLTcon2018
& highlighting 3 truths about 'parental responsiveness': it can be harnessed to promote change in language outcomes; important indicator of risk for poor language outcomes; and does not cause language disorder #IASLTcon2019
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